HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENTS COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
�� RECEIVED
FORT PIERCE, FL 34982 y p
(772) 462-1553 Fax (772) 462-1578 U N i Q; U
Lucie
AFFIDAVIT OF REQUIREMENT COMPLIANCE.
Residential Swimming Pools, Spa, and Hot Tub SafeN ficlt Lucie County, Permitting
PERMIT #
I (We) acknowledge that a new swimming pool, spa, or hot .tub will be constructed or installed at
7/8 / a ssD S Ay and hereby affirm that one of the following methods
(Please print street address)
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F 1246 -9 1 (Standard Performance Specifications for -
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
pressure rating of 85decibels at 10 feet.
All doors providing direct access from the home to the pool will be equipped with self closing, self latching devices with release mechanisms
placed no lower than 54 inches above the floor or deck.
I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree,
punishable by fines up to $500.00 and/or up to 60 days in jail as established in chapter.775, V.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the
above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
I; the contractor, agree to
OF
OF
the owner of the proper use
The foregoing instrument was acknowleftkd be re me
this day of 201,
by
Personally Known V or Produced Identification
Type of Identification Produced:
FARA D HERNANDEZ
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MY COMMISSION #FF172419
EXPIRES October 28, 2018
SLCPDS Revised 07/22/1Q4(17)'390
-0 153
Floridallotaryservice.com
of such safety device.
OF ELOIRI11h, COUNTY OF
The foregoing instrument was acknowl dged be ore me
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this , day of 204
0 I. 11
V
by ex 0
Personally Known or Produced Identification
Type of Identification produced:
2......... :: FARA D HERNA14DEZ
'' MY COMMISSION #FF172419
EXPIRES October 28, 2018
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